KEVIN C BUSHEY APRN, CRNA
NPI 1578519153
Nurse Anesthetist, Certified Registered in Duluth, MN

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
1420 LONDON RD, SUITE 100, DULUTH, MN 55805(218) 728-8508 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kevin C Bushey Aprn, Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN C BUSHEY APRN, CRNA (NPI 1578519153) is an individual nurse anesthetist, certified registered in Duluth, Minnesota, licensed in Minnesota (412) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1578519153
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameKEVIN C BUSHEYCredential: APRN, CRNA
Location Address1420 LONDON RD, SUITE 100Duluth, MN 55805-2433
Mailing Address400 E 3rd StDuluth, MN 55805-1951 · (218) 786-8319 · Fax (218) 786-2891
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateMay 26, 2006
Last NPPES UpdateFebruary 13, 2024
NPPES CertifiedFebruary 13, 2024
✔ NPI 1578519153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MN · 412
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1420 LONDON RD, Duluth, MN 55805

Other Identifiers 1

Medicaid557453600MN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin C Bushey Aprn, Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173683901
PECOS Enrollment IDI20081124000140, I20120111000691
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kevin Bushey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
1502 LONDON RD STE 102
Duluth, MN 55812
  • Reassigned Medicare billing, Minnesota and Wisconsin enrollments
  • Also billed through NPI 1245278209 (Wisconsin)
  • 1,460 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Essentia Health St Mary's Medical Center

Acute Care Hospitals · Duluth, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240002
Location402 East Second StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Plastic Surgery
1420 LONDON RD, SUITE 101
DULUTH, MN 55805
Nurse Anesthetist, Certified Registered
1420 LONDON RD, SUITE 100
DULUTH, MN 55805
Physical Therapist
1420 LONDON RD, SUITE 102
DULUTH, MN 55805
Occupational Therapist (Hand)
1420 LONDON RD, SUITE 102
DULUTH, MN 55805
Plastic Surgery
1420 LONDON RD, SUITE 101
DULUTH, MN 55805
Nurse Anesthetist, Certified Registered
1420 LONDON RD, SUITE 100
DULUTH, MN 55805
Physical Therapist
1420 LONDON RD, SUITE 102
DULUTH, MN 55805
Anesthesiology (Pain Medicine)
1420 LONDON RD, SUITE 100
DULUTH, MN 55805

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Bushey's NPI number?

The NPI number for Kevin Bushey is 1578519153. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Kevin Bushey located?

Kevin Bushey practices at 1420 London Rd Suite 100, Duluth, MN 55805. The listed phone number is (218) 728-8508.

What is Kevin Bushey's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Kevin Bushey enrolled in Medicare?

Yes. Kevin Bushey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kevin Bushey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Bushey reassigns Medicare benefits to The Duluth Clinic, Ltd (Duluth, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Bushey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Bushey accept?

Health plans from Anthem Blue Cross and Blue Shield list Kevin Bushey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kevin Bushey affiliated with any hospitals?

According to CMS data, Kevin Bushey is affiliated with Essentia Health St Mary's Medical Center.

When was this NPI record last updated?

The NPPES record for Kevin Bushey was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.